Objectives: to measure the prevalence of acquiring and evaluating the level of completion of the pregnant women's medical booklet on the occasion of childbirth in Rio Grande, Brazil. Methods: this is a cross-sectional study including all puerperals residing in this municipality in 2007, 2010, 2013 and 2016. The mothers were interviewed at the only two local maternities up to 48 hours after childbirth. The data from the pregnant woman’s medical booklet were copied on a standard form. The chi-square test was used to compare proportions. Results: 10,242 pregnant women were included in this study. Of these, 54.8% (CI95%=53.8%-55.7%) had their pregnant woman's medical booklet with them at the time of admission. The completion pattern of the pregnant woman's medical booklet is divided into three groups, namely: with at least 95%: date of the last consultation visit, maternal height and blood pressure verification, uterine height, cardio-fetal heart rate and the Rh factor; 85% or more: date of the last menstruation, qualitative urine test, VDRL and HIV; and less than 30%: performance of clinical breast examination and cytopathology of the uterine cervix. In the private sector, the acquisition of the pregnant woman's medical booklet was 41% lower than at the public sector (62% vs. 44%). Conclusions: the use of the pregnant woman's medical booklet and its completion were lower than expected on several items. Local managers need to work together with the health professionals and these health professionals should work with the mothers to promote the full use of this essential document for the maternal and child's health.

To evaluate inequalities in the worsening of work and income decrease/cessation among adults and elderly people with COVID-19 in the extreme south of Brazil. This is a cross-sectional study based on the SulCovid-19 study carried out with adults and elderly people infected with SARS CoV-2 from December/2020 to March/2021 in the municipality of Rio Grande, RS, Brazil. The outcomes were: “worsening of work” and “income decrease/cessation” following COVID-19. The independent variables were gender, skin color, income, education, health insurance, age, marital status, schooling, morbidities, hospitalization and long COVID. prevalence of worsening work was 33.7% (95%CI 31.8; 35.5), while prevalence of income decrease/cessation was 44.6% (95%CI 42.7; 46.6). Female individuals with income in dollars between US0.00 and US192.0 had 13.0% (95% CI 1.01; 1.27) and 22.0% (95% CI 1.02; 1.46) greater prevalence of losing work and were 22.0% (95% CI 1.12; 1.34) and 49.0% (95% CI 1.31; 1.70) more likely to suffer a decrease/cessation of their income. Individuals with long COVID had 46.0% greater prevalence (95% CI 1.27; 1.68) of worsening at work and 24.0% (95% CI 1.13; 1.37) greater prevalence of income decrease/cessation when compared to those without the disease. Individuals with 3 symptoms or more had 86.0% (95% CI 1.58; 2.20) greater prevalence of worsening work and 47.0% (95% CI 1.31; 1.65) greater prevalence of income decrease/cessation when compared to those without long COVID symptoms. There was inequality in the worsening of work and income decrease/cessation for individuals infected with SARS CoV-2. Among these individuals, females, lower income, low education and greater long COVID severity were the most affected.

RRH: Rural and Remote Health. Published article number: 5985 - Functional dependence among older adults: a cross-sectional study with a rural population of southern Brazil

Purpose: To analyze the effect of shift work on the total calorie intake, macronutrients and mealtimes of military policemen during working days and off-duty days. Design: Quantitative cross-sectional. Setting: Military policemen who worked shifts in a city in the Northern region of Brazil. Population: 34 military policemen aged between 18 and 50. Measurements: Calorie intake, macronutrients, mealtimes, dietary midpoint and dietary window for working days and off-duty days were analyzed. Generalized Estimation Equations (GEE) with Bonferroni post-test, adjusted for age and BMI test was used to check the differences between the variables. Results: The median intake of calories (2781 kcal vs 2350 vs 2295 kcal; P < 0.001), proteins (200 g vs 122.65 g vs 104.24 g; P = 0.006) and lipids (158.41 g vs 86.94 g vs 91.03 g; P = 0.014) was higher when policemen worked day compared night shifts and to off-duty days. Meals started early during the day and the eating window was longer during the day shift, followed by off-duty days and the night shift. Conclusion: These findings reinforce the effect of shift work on eating habits and highlight the need for nutritional strategies adapted to the occupational context of military policemen.

Objetivo: Estudar a ocorrência e identificar tendências na distribuição das cesarianas ocorridas no Estado de Santa Catarina de acordo com os grupos de classificação de Robson, entre 2014 e 2019. Método: Estudo transversal que incluiu todos os registros de microdados de partos e nascimentos do Sistema de Informações sobre Nascidos Vivos do Ministério da Saúde no período supracitado. Foram realizadas análises de tendência temporal da ocorrência de cesarianas em cada um dos 10 grupos de Robson e suas respectivas taxas e contribuições. Essas foram ainda analisadas quanto a distribuição entre as sete macrorregiões de saúde do estado. Resultados: A taxa geral de cesariana foi de 58,3% (IC95%: 58,1; 58,4), variando de 60,5% em 2014 a 57,4% em 2019. Teve destaque a macrorregião da Grande Oeste com a maior taxa geral de cesariana (67,9%). O grupo 5 (mulheres com cesariana prévia) e o grupo 2 (nulíparas com cesariana eletiva) apresentaram as maiores taxas individuais e contribuições para a taxa geral de cesariana. Enquanto o grupo 5 demonstrou tendência ascendente, o grupo 2 reduziu sua contribuição na taxa geral de cesariana no período. Conclusão: Observou-se redução discreta na ocorrência das cesarianas ao longo dos anos. Mulheres dos grupos 2 e 5 representam os principais grupos-alvo para intervenções visando a redução de cesarianas desnecessárias no Estado.